Background to this inspection
Updated
9 June 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 10 May 2017 and was announced. We contacted the registered manager 24 hours before our inspection as some people who used this service needed to be informed of our visit in advance as they would otherwise have found an unannounced inspection difficult to manage. The team consisted of one adult social care inspector.
At the time of our inspection there were three people living at Mayhurst. We spoke with one person who used the service, three members of staff, the registered manager and the nominated individual. We spent some time looking at documents and records that related to people’s care and support and the management of the service. We looked at two people’s care plans and two people’s medication administration records.
Before our inspections we usually ask the provider to send us a provider information return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We did not ask the provider to complete a
PIR prior to this inspection. We reviewed all the information we held about the service. This included any statutory notifications that had been sent to us. We contacted the local authority and safeguarding teams and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
Updated
9 June 2017
A comprehensive inspection took place on 10 May 2017 and was announced. This was the services first comprehensive inspection.
Mayhurst offers a wide range of mental health services to young people and young adults providing outcome focused care and support for people who may have behaviours that challenge and associated complex needs. Mayhurst is registered to provide accommodation for persons who require nursing or personal care for up to five people.
At the time of this inspection the home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff were able to tell us what they would do to ensure people were safe and we saw there were systems and processes in place to protect people from the risk of harm. Positive risk management was in place. Staff had a good understanding of safeguarding vulnerable adults. People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines safely.
People were cared for, or supported by, sufficient numbers of suitably qualified and experienced staff. Robust recruitment procedures were in place to make sure suitable staff worked with people who used the service and staff completed an induction when they started work. Staff received the training and support required to meet people’s needs which included supervision meetings.
People who used the service were able to make their own decisions with aspects of their care and support. People were involved in meal planning, preparing and cooking meals. People were supported by staff to access a range of external and internal healthcare professionals and their equality, diversity and human rights were respected.
Staff had a good knowledge and understanding of people’s needs and worked together as a team. People’s care plans contained sufficient and relevant information to provide consistent, care and support. Staff were aware and knew how to respect people’s privacy and dignity. People were involved in a range of activities within the home and the local community.
A complaints procedure was in place for staff to follow and was also displayed in the home.
The home had good management and leadership. People had opportunity to comment on the quality of the home and influence service delivery. Effective quality management systems were in place which ensured people received safe, good quality care and support.